DOCSLIB.ORG

Hyperbaric Medicine – the Emerging Specialty

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Hyperbaric Medicine – the Emerging Specialty Hyperbaric Medicine – The Emerging Specialty at Presbyterian Hospital of Dallas Hyperbaric medicine brings new depths of care and wound management to the Institute for Exercise and Environmental Medicine at Presbyterian Hospital of Dallas. The Institute’s Hyperbaric Medicine Unit reflects the hospital’s major commitment to this specialized area of medical care. It is equipped with one of the largest and most advanced hyperbaric treatment facilities in the world. e management to Hyperbaric oxygen therapy is most widely cise and and wound car known for its use in treating scuba diving the Institute for Exer complications. However, modern hyperbaric Environmental Medicine at therapy has important clinical indications Presbyterian Hospital of Dallas. for orthopedics, surgery, infectious diseases and emergency medicine. A STAFF OF CARING SPECIALISTS The treating physician on the medical staff, the RNs and technicians have specialized training in the application of hyperbaric oxygen therapy. The physician coordinates care directly with referring physicians to determine patient treatments. Dr. Jeffrey Stone, the Unit’s medical director, received his master’s degree in public health from Harvard in 1988. He completed his residency in aerospace medicine and his fellowship in hyperbaric medicine at Brooks Air Force Base in San Antonio. Prior to his position at the Institute, Dr. Stone served as Chief of the Department of Hyperbaric Medicine at the U.S. Army Aeromedical Center in Ft. Rucker, Alabama. The Unit’s staff consists of two full-time RNs with critical care It’s all in the way we treat you.® background and four technicians, and all are certified in hyperbarics. www.phscare.org Hyperbaric Medicine — The Emerging Specialty at Presbyterian Hospital of Dallas THE HYPERBARIC OXYGEN THERAPY PROCESS At the Unit, hyperbaric oxygen therapy is administered by pressurizing the multiplace (multiple patient) chamber with air to an equivalent of 2.4 atmospheres and having patients breathe 100 percent oxygen using a mask or hood. This increases the level of oxygen delivered to the tissues and augments wound healing and repair. The multiplace chamber allows hands-on medical care to be provided in the hyperbaric environment and enables more patients to be treated at one time, improving comfort, medical support and cost effectiveness. The Hyperbaric Medicine Unit’s primary clinical use centers around its application in wound healing. In the case of soft tissue radionecrosis, hyperbaric oxygen therapy is administered to promote angiogenesis and neovascularization in compromised areas. THE MULTIPLACE CHAMBER centers ar ound its application in wound healing. The Unit’s environmental chamber is a multiplace hyperbaric chamber capable of accommodating up to seven patients at one time. Chamber operations are monitored by advanced computer systems. Equipment for managing medical emergencies inside the chamber includes cardiac monitoring, suctioning and mechanical ventilation. The chamber is equipped with a large screen TV so patients may view movies during the treatment. CURRENTLY ACCEPTED INDICATIONS FOR TREATMENT The Undersea and Hyperbaric Medical Society’s Committee on Hyperbaric Oxygen has approved the use of hyperbaric oxygen therapy as adjunctive or primary treatment for the diseases and conditions listed below. The Committee’s report is accepted by most national insurance carriers and Medicare as a guideline for reimbursement. It’s all in the way we treat you.® www.phscare.org Hyperbaric Medicine — The Emerging Specialty at Presbyterian Hospital of Dallas CURRENTLY ACCEPTED INDICATIONS FOR TREATMENT (continued) Hyperbaric oxygen therapy is currently indicated as the primary mode of therapy for the following conditions: • Air or gas embolism • Decompression sickness • Carbon monoxide poisoning Hyperbaric oxygen therapy is currently indicated as an important adjunctive therapy for the following conditions: • Radiation tissue damage (soft tissue and osteoradionecrosis) • Clostridial myonecrosis (gas gangrene) • Compromised skin grafts and flaps • Crush injury, compartment syndrome, acute traumatic ischemias • Necrotizing soft tissue (subcutaneous, muscle, fascia) infections • Osteomyelitis (refractory) • Diabetic foot and other problem non-healing wounds CONSULTATION PROCEDURES Hyperbaric Medicine services are consultative in nature and are provided in coordination with the patient’s referring physician. Treatments can be scheduled on an inpatient or outpatient basis, based on the patient’s condition and requirements. It’s all in the way we treat you.® www.phscare.org Hyperbaric Medicine — The Emerging Specialty at Presbyterian Hospital of Dallas PRESBYTERIAN HOSPITAL OF DALLAS 8200 Walnut Hill Lane • Dallas, Texas 75231 IMPORTANT PHONE NUMBERS Hyperbaric Medicine . .(214) 345-4651 Physician Referral Line . .1-800-4-Presby (1-800-477-3729) It’s all in the way we treat you.® *Physicians practicing at this facility are not employees or agents of Presbyterian Hospital of Dallas. They are either independent sole practitioners or members/employees of an independent physician group. www.phscare.org.
Load more

Recommended publications
  • What Chamber Operators Should Know About Ear Barotrauma (And How to Prevent It) Robert Sheffield, CHT and Kevin “Kip” Posey, CHT / June 2018
    LEARN.HYPERBARICMEDICINE.COM International ATMO Education What Chamber Operators Should Know About Ear Barotrauma (and How to Prevent It) Robert Sheffield, CHT and Kevin “Kip” Posey, CHT / June 2018 INTRODUCTION Ear barotrauma (i.e. “ear block”, “ear squeeze”) is the most common complication of hyperbaric treatment. It occurs when the pressure in the hyperbaric chamber is greater than the pressure in the middle ear. It is prevented by patient assessment, patient education, and the appropriate actions of the chamber operator. The chamber operator has an important role in preventing ear barotrauma in hyperbaric patients. OBJECTIVES At the conclusion of this article, the reader will be able to: Describe the anatomy of the middle ear Explain the mechanism of ear barotrauma Describe 3 techniques to equalize middle ear pressure ANATOMY OF THE MIDDLE EAR The middle ear is an air space that separates the external ear canal from the inner ear. The eardrum, called the tympanic membrane (TM), vibrates when sound enters the ear canal. The vibration is transmitted to a series of bones in the middle ear. These bones transmit vibration to another membrane (the oval window) that separates the air‐filled middle ear from the fluid‐filled inner ear, where sound is sensed in the cochlea. The nasopharynx is the area behind the nose and above the palate. The Eustachian tubes open into this area. Because of the location of the Eustachian tube openings, the same things that cause nasal congestion (e.g. allergies, upper respiratory infection) can cause swelling around the opening of the Eustachian tubes, making it more difficult to equalize pressure in the middle ear.
    [Show full text]
  • Critical Care in the Monoplace Hyperbaric Chamber
    Critical Care in the Monoplace Hyperbaric Critical Care - Monoplace Chamber • 30 minutes, so only key points • Highly suggest critical care medicine is involved • Pitfalls Lindell K. Weaver, MD Intermountain Medical Center Murray, Utah, and • Ventilator and IV issues LDS Hospital Salt Lake City, Utah Key points Critical Care in the Monoplace Chamber • Weaver LK. Operational Use and Patient Care in the Monoplace Chamber. In: • Staff must be certified and experienced Resp Care Clinics of N Am-Hyperbaric Medicine, Part I. Moon R, McIntyre N, eds. Philadelphia, W.B. Saunders Company, March, 1999: 51-92 in CCM • Weaver LK. The treatment of critically ill patients with hyperbaric oxygen therapy. In: Brent J, Wallace KL, Burkhart KK, Phillips SD, and Donovan JW, • Proximity to CCM services (ed). Critical care toxicology: diagnosis and management of the critically poisoned patient. Philadelphia: Elsevier Mosby; 2005:181-187. • Must have study patient in chamber • Weaver, LK. Critical care of patients needing hyperbaric oxygen. In: Thom SR and Neuman T, (ed). The physiology and medicine of hyperbaric oxygen therapy. quickly Philadelphia: Saunders/Elsevier, 2008:117-129. • Weaver LK. Management of critically ill patients in the monoplace hyperbaric chamber. In: Whelan HT, Kindwall E., Hyperbaric Medicine Practice, 4th ed.. • CCM equipment North Palm Beach, Florida: Best, Inc. 2017; 65-95. • Without certain modifications, treating • Gossett WA, Rockswold GL, Rockswold SB, Adkinson CD, Bergman TA, Quickel RR. The safe treatment, monitoring and management
    [Show full text]
  • Consensus Conference, the ECHM
    24 Diving and Hyperbaric Medicine Volume 47 No. 1 March 2017 Consensus Conference Tenth European Consensus Conference on Hyperbaric Medicine: recommendations for accepted and non-accepted clinical indications and practice of hyperbaric oxygen treatment Daniel Mathieu, Alessandro Marroni and Jacek Kot Abstract (Mathieu D, Marroni A, Kot J. Tenth European Consensus Conference on Hyperbaric Medicine: recommendations for accepted and non-accepted clinical indications and practice of hyperbaric oxygen treatment. Diving and Hyperbaric Medicine. 2017 March;47(1):24-32.) The tenth European Consensus Conference on Hyperbaric Medicine took place in April 2016, attended by a large delegation of experts from Europe and elsewhere. The focus of the meeting was the revision of the European Committee on Hyperbaric Medicine (ECHM) list of accepted indications for hyperbaric oxygen treatment (HBOT), based on a thorough review of the best available research and evidence-based medicine (EBM). For this scope, the modified GRADE system for evidence analysis, together with the DELPHI system for consensus evaluation, were adopted. The indications for HBOT, including those promulgated by the ECHM previously, were analysed by selected experts, based on an extensive review of the literature and of the available EBM studies. The indications were divided as follows: Type 1, where HBOT is strongly indicated as a primary treatment method, as it is supported by sufficiently strong evidence; Type 2, where HBOT is suggested as it is supported by acceptable levels of evidence; Type 3, where HBOT can be considered as a possible/optional measure, but it is not yet supported by sufficiently strong evidence. For each type, three levels of evidence were considered: A, when the number of randomised controlled trials (RCTs) is considered sufficient; B, when there are some RCTs in favour of the indication and there is ample expert consensus; C, when the conditions do not allow for proper RCTs but there is ample and international expert consensus.
    [Show full text]
  • Symptomatic Middle Ear and Cranial Sinus Barotraumas As a Complication of Hyperbaric Oxygen Treatment
    İst Tıp Fak Derg 2016; 79: 4 KLİNİK ARAŞTIRMA / CLINICAL RESEARCH J Ist Faculty Med 2016; 79: 4 http://dergipark.ulakbim.gov.tr/iuitfd http://www.journals.istanbul.edu.tr/iuitfd SYMPTOMATIC MIDDLE EAR AND CRANIAL SINUS BAROTRAUMAS AS A COMPLICATION OF HYPERBARIC OXYGEN TREATMENT HİPERBARİK OKSİJEN TEDAVİSİ KOMPLİKASYONU: SEMPTOMATİK ORTA KULAK VE KRANYAL SİNUS BAROTRAVMASI Bengüsu MİRASOĞLU*, Aslıcan ÇAKKALKURT*, Maide ÇİMŞİT* ABSTRACT Objective: Hyperbaric oxygen therapy (HBOT) is applied for various diseases. It is generally considered safe but has some benign complications and adverse effects. The most common complication is middle ear barotrauma. The aim of this study was to collect data about middle ear and cranial sinus barotraumas in our department and to evaluate factors affecting the occurrence of barotrauma. Material and methods: Files of patients who had undergone hyperbaric oxygen therapy between June 1st, 2004, and April 30th, 2012, and HBOT log books for the same period were searched for barotraumas. Patients who were intubated and unconscious were excluded. Data about demographics and medical history of conscious patients with barotrauma (BT) were collected and evaluated retrospectively. Results: It was found that over eight years and 23,645 sessions, 39 of a total 896 patients had BT; thus, the general BT incidence of our department was 4.4%. The barotrauma incidence was significantly less in the multiplace chamber (3.1% vs. 8.7%) where a health professional attended the therapies. Most barotraumas were seen during early sessions and were generally mild. A significant accumulation according to treatment indications was not determined. Conclusion: It was thought that the low barotrauma incidence was related to the slow compression rate as well as training patients thoroughly and monitoring them carefully.
    [Show full text]
  • Hyperbaric Oxygen Therapy (HBOT) Final Evidence Report
    20, 2012 Health Technology Assessment Hyperbaric Oxygen Therapy (HBOT) for Tissue Damage, Including Wound Care and Treatment of Central Nervous System (CNS) Conditions Final Evidence Report February 15, 2013 Health Technology Assessment Program (HTA) Washington State Health Care Authority PO Box 42712 Olympia, WA 98504-2712 (360) 725-5126 hta.hca.wa.gov [email protected] Hyperbaric Oxygen Therapy (HBOT) for Tissue Damage, Including Wound Care and Treatment of Central Nervous System (CNS) Conditions A Health Technology Assessment Prepared for Washington State Health Care Authority FINAL REPORT – February 15, 2013 Acknowledgement This report was prepared by: Hayes, Inc. 157 S. Broad Street Suite 200 Lansdale, PA 19446 P: 215.855.0615 F: 215.855.5218 This report is intended to provide research assistance and general information only. It is not intended to be used as the sole basis for determining coverage policy or defining treatment protocols or medical modalities, nor should it be construed as providing medical advice regarding treatment of an individual’s specific case. Any decision regarding claims eligibility or benefits, or acquisition or use of a health technology is solely within the discretion of your organization. Hayes, Inc. assumes no responsibility or liability for such decisions. Hayes employees and contractors do not have material, professional, familial, or financial affiliations that create actual or potential conflicts of interest related to the preparation of this report. Prepared by Winifred Hayes, Inc. Page i February
    [Show full text]
  • Contraindications and Relative Contraindications, and Complications That May Occur with And/Or During HBOT
    HYPERBARIC OXYGEN THERAPY INDICATIONS, CONTRAINDICTIONS AND COMPLICATIONS Policy: This policy lists accepted conditions or indications for insurance reimbursement for Hyperbaric oxygen therapy (HBOT), contraindications and relative contraindications, and complications that may occur with and/or during HBOT. Additional information is provided regarding drug therapy with HBOT. 1.0 HYPERBARIC OXYGEN THERAPY (HBOT) ACCEPTED CONDITIONS FOR INSURANCE REIMBURSEMENT: 1.1 The following list includes the currently accepted conditions: A. Air or gas embolism B. Carbon monoxide/cyanide poisoning and smoke inhalation C. Crush injury/traumatic ischemia D. Decompression sickness E. Enhancement in healing in selected problem wounds F. Exceptional anemia resulting for blood loss G. Gas Gangrene(clostridial) H. Necrotizing soft tissue infections I. Refractory osteomyelitis J. Comprised skin grafts/flaps K. Radiation tissue damage L. Thermal burns 2.0 ABSOLUTE CONTRAINDICATIONS 2.1 Untreated pneumothorax A. Surgical relief of the pneumothorax before the HBOT treatment, if possible, removes the obstacle to treatment. 3.0 RELATIVE CONTRAINDICATIONS-- “Conditions in which caution must sometimes be observed but which are not necessarily a contraindication to HBOT.” (Kindwall, 1995) 3.1 History of spontaneous pneumothorax 3.2 Severe sinus infection 3.3 Upper respiratory infection 3.4 Asymptomatic pulmonary lesions on chest x-ray 3.5 Uncontrollable high fever (greater than 39C) 3.6 History of chest or ear surgery 3.7 Congenital spherocytosis 3.8 Any anemia or
    [Show full text]
  • Renal Function in Hyperbaric Environment
    APPLIED HUMAN SCIENCE Journal of Physiological Anthropology Renal Function in Hyperbaric Environment Yang Saeng Park1), John R. Claybaugh2), Keizo Shiraki3) and Motohiko Mohri4) 1) Kosin Medical College, Korea 2) Tripler Army Medical Center, USA 3) University of Occupational and Environmental Health 4) Japan Marine Science and Technology Center Abstract. During mixed gas saturation diving (to 3– diuresis. This topic has been reviewed previously by Hong 49.5 ATA) daily urine flow increases by about 500 ml/ (1975), Hong et al. (1983; 1995), Hong and Claybaugh day, with no changes in fluid intake and glomerular (1989), Shiraki (1987), and Sagawa et al. (1996). filtration rate. The diuresis is accompanied by a significant decrease in urine osmolality and increase in excretion Characteristics of Hyperbaric Diuresis of such solutes as urea, K+, Na+, Ca2+ and inorganic phosphate (Pi). The fall in urine osmolality is mainly Fig. 1 depicts time courses of urine flow in subjects due to a reduction of free water reabsorption which is exposed to 31 ATA He-O2 atmosphere determined in associated with a suppression of insensible water loss three saturation dives, Seadragon IV (Nakayama et al., and the attendant inhibition of antidiuretic hormone 1981), Seadragon VI (Shiraki et al., 1987), and New (ADH) system. The increase in urea excretion may be Seatopia (Sagawa et al., 1990), conducted in Japan associated with a reduction of urea reabsorption at the Marine Science and Technology Center (JAMSTEC). The collecting duct as a consequence of ADH suppression. daily urine flow increased rapidly upon compression to a The rise in K+ excretion is due to a facilitated K+ secretion value 700–1000 ml/day above the predive level, then it at the distal tubule as a result of increased aldosterone, dropped off slightly to a steady level of approximately 500 urine flow and excretion of impermeable anions such ml/day above the predive level.
    [Show full text]
  • Subacute Normobaric Oxygen and Hyperbaric Oxygen Therapy in Drowning, Reversal of Brain Volume Loss: a Case Report
    [Downloaded free from http://www.medgasres.com on Monday, July 3, 2017, IP: 12.22.86.35] CASE REPORT Subacute normobaric oxygen and hyperbaric oxygen therapy in drowning, reversal of brain volume loss: a case report Paul G. Harch1, *, Edward F. Fogarty2 1 Department of Medicine, Section of Emergency Medicine, University Medical Center, Louisiana State University School of Medicine, New Orleans, LA, USA 2 Department of Radiology, University of North Dakota School of Medicine, Bismarck, ND, USA *Correspondence to: Paul G. Harch, M.D., [email protected] or [email protected]. orcid: 0000-0001-7329-0078 (Paul G. Harch) Abstract A 2-year-old girl experienced cardiac arrest after cold water drowning. Magnetic resonance imaging (MRI) showed deep gray mat- ter injury on day 4 and cerebral atrophy with gray and white matter loss on day 32. Patient had no speech, gait, or responsiveness to commands on day 48 at hospital discharge. She received normobaric 100% oxygen treatment (2 L/minute for 45 minutes by nasal cannula, twice/day) since day 56 and then hyperbaric oxygen treatment (HBOT) at 1.3 atmosphere absolute (131.7 kPa) air/45 minutes, 5 days/week for 40 sessions since day 79; visually apparent and/or physical examination-documented neurological improvement oc- curred upon initiating each therapy. After HBOT, the patient had normal speech and cognition, assisted gait, residual fine motor and temperament deficits. MRI at 5 months after injury and 27 days after HBOT showed near-normalization of ventricles and reversal of atrophy. Subacute normobaric oxygen and HBOT were able to restore drowning-induced cortical gray matter and white matter loss, as documented by sequential MRI, and simultaneous neurological function, as documented by video and physical examinations.
    [Show full text]
  • Hyperbaric Oxygen Therapy Effectively Treats Long-Term Damage from Radiation Therapy
    Hyperbaric oxygen therapy effectively treats long-term damage from radiation therapy HBOT is last hope for many patients “For the subset of patients who suffer from late effects of radiation exposure, hyperbaric oxygen therapy is often the only treatment than can prevent irreversible bone or tissue loss or enable them to undergo life-improving reconstructive procedures such as breast or facial surgeries,” explains Susan Sprau, M.D., Medical Director of UCLA Hyperbaric Medicine. “By offering this therapy, we are able to provide a better quality of life to patients who have already survived devastating illnesses.” Late side effects from More than 11 million people living in the U.S. today have been diagnosed with radiotherapy result from scarring cancer, and about half of them have received radiation therapy (radiotherapy). and narrowing of the blood While improved radiotherapy techniques have increased treatment precision and vessels within the treatment area, reduced side effects caused by radiotherapy, the high doses of radiation used to which may lead to inadequate kill cancer cells may still cause long-term damage to nearby healthy cells in some blood supply and cause necrosis of normal tissues and bones. patients. By helping the blood carry more oxygen to affected areas, hyperbaric Hyperbaric oxygen therapy oxygen therapy (HBOT) has been proven effective for these patients. (HBOT) helps blood carry more oxygen to affected areas and Long-term side effects stimulates growth of new blood vessels by exposing patients to For most cancer patients who experience negative effects from radiotherapy, the pure oxygen within a sealed side effects are short-term and appear within six months of their last exposure chamber set at greater than the to radiation.
    [Show full text]
  • Download Our Hyperbaric Oxygen Therapy Brochure
    Hyperbaric Oxygen THERAPY HYPERBARIC MEDICINE 987561 Nebraska Medical Center Omaha, Nebraska 68198-7561 402.552.2490 This brochure has been designed to provide you with basic information about hyperbaric oxygen therapy. After reading this brochure, please contact your doctor or the Hyperbaric Medicine staff at 402.552.2490 if you have any questions. What is Hyperbaric Oxygen Therapy? Hyperbaric oxygen therapy (HBOT) is a medical treatment used for specific medical conditions. It may be the primary treatment for some disorders, but is often used as part of a combined program involving nursing care, dressing changes, surgical debridement, medications and nutrition. During hyperbaric oxygen therapy, the patient is placed in a clear plastic chamber which is pressurized with pure oxygen up to three times normal air pressure. This increases the oxygen level in the blood and ultimately in the body tissues. How Does Hyperbaric Oxygen Therapy Work? Oxygen that is delivered to a patient in a hyperbaric chamber greatly increases the amount that can be delivered to body tissues by the blood. The benefits of hyperbaric oxygen are not from oxygen in contact with the surface of the body, but from breathing it and getting more into the blood stream. Jeffrey S. Cooper, MD, Medical Director, Hyperbaric Oxygen Therapy Hyperbaric oxygen therapy may be used to treat several medical conditions including: as the eardrum responds to changes in pressure. As part of • Severe anemia the introduction to treatment, patients are taught several easy • Brain abscess methods to avoid ear discomfort. • Bubbles of air in blood vessels (arterial gas embolism) • Burn Is Hyperbaric Oxygen Therapy Safe? • Decompression sickness Hyperbaric oxygen therapy is prescribed by a physician and • Carbon monoxide poisoning performed under medical supervision.
    [Show full text]
  • O2 and Hyperbaric Oxygen Therapy Reverses Brain Damage in Drowned Toddler 17 July 2017
    O2 and hyperbaric oxygen therapy reverses brain damage in drowned toddler 17 July 2017 treatment with 100% normobaric oxygen for 45 minutes twice a day through a nasal cannula. The patient became more alert, awake and stopped squirming. Her rate of neurological improvement increased with laughing, increased movement of arms, hands, grasp with the left hand, partial oral feeding, eye tracking and short-sequenced speech (pre-drowning speech level, but with diminished vocabulary). The patient and family then traveled to New Orleans where 78 days post-drowning, Dr. Harch began treating her with hyperbaric oxygen therapy. She "dove" in a hyperbaric chamber for 45 minutes Credit: Louisiana State University a day, five days a week for 40 sessions. At the beginning of each session, the patient showed visually apparent and/or physical examination- documented neurological improvement. After 10 Dr. Paul Harch, Clinical Professor and Director of HBOT sessions, the patient's mother reported that Hyperbaric Medicine at LSU Health New Orleans her daughter was "near normal" except for gross School of Medicine, and Dr. Edward Fogarty, at the motor function, and physical therapy was re- University of North Dakota School of Medicine, instituted. After 39 HBOT sessions, the patient report the case of the reversal of brain volume loss exhibited assisted gait, speech level greater than in a two-year-old drowning victim unresponsive to pre-drowning, near normal motor function, normal all stimuli treated with normobaric oxygen (oxygen cognition, improvement on nearly all neurological at sea level) and hyperbaric oxygen therapy exam abnormalities, discontinuance of all (HBOT). The report is published in Medical Gas medications, as well as residual emotional, gait and Research.
    [Show full text]
  • Center for Advanced Wound Care and Hyperbaric Medicine at St
    CENTER FOR ADVANCED WOUND CARE AND HYPERBARIC MEDICINE AT ST. LOUISE REGIONAL HOSPITAL The Center for Advanced Wound Care and Hyperbaric Medicine at St. Louise Regional Hospital was established in 2008, becoming the first specialized outpatient wound care center to bring modern healing to the South County area. Recognized for commitment to a personalized approach in clinical excellence, the St. Louise Wound Care Center emphasizes treatment with education while supporting unique patient needs. Our skilled team has extensive expertise and utilizes the most advanced technology and treatments to heal wounds. OUR TEAM OF WOUND CARE SPECIALISTS We provides quality comprehensive wound management through an interdisciplinary team approach, consisting of medical specialists in: • General surgery • Emergency Medicine • Vascular surgery • Wound and Ostomy Care certified nurses • Podiatry • Supportive Staff • Infection disease • Nutritionist OUR TREATMENT PLANS We offer personalized treatment plans for a variety of complex and non-healing wounds: • Diabetic ulcers • Complex abdominal wounds • Pressure injuries • Enterocutaneous fistulas • Arterial and Venous ulcers • Extremity wounds with edema or • Post-op wound infections lymphedema • Traumatic injury wounds • Non-healing surgical wounds • Bone infections • Skin tears • Radiation wounds • Burns • Gangrene or tissue death • Wounds occurring after cancer treatments • Surgical implant infections Our treatments provide a full spectrum of care and support to optimize individualized, comprehensive patient care plans, including: • Hyperbaric Oxygen Therapy • Transcutaneous oxygen test • Advanced Skin Substitutes • Infection prevention and control • Skin grafting • Negative pressure wound therapy • Flaps • Case management and patient education • Debridement • Ostomy Care • Revascularization CENTER FOR ADVANCED WOUND CARE AND HYPERBARIC MEDICINE AT ST. LOUISE REGIONAL HOSPITAL HYPERBARIC OXYGEN THERAPY The Hyperbaric Oxygen Therapy (HBO) program at St.
    [Show full text]